Mr Jonathan Dean Medeck, PA-C is a medicare enrolled "Physician Assistant" physician in Rapid City, South Dakota. His current practice location is
710 Saint Anne Street, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 343-8000.
Mr Jonathan Dean Medeck is licensed to practice in South Dakota (license number 0361) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467426387.
Physician's Profile
| Full Name | Mr Jonathan Dean Medeck |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 710 Saint Anne Street, Rapid City, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467426387
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 03/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638213465
- Enrollment ID: I20100217000781
Medical Identifiers
Medical identifiers for Mr Jonathan Dean Medeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467426387 | NPI | - | NPPES |
| 070013292 | Other | SD | RAILROAD MEDICARE |
| 6826630 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 0361 (South Dakota) | Secondary |
| 363A00000X | Physician Assistant | 0361 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Dean Medeck is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jonathan Dean Medeck, PA-C
Po Box 3468,
Rapid City, SD 57709-3468
Ph: (605) 343-8000 | Mr Jonathan Dean Medeck, PA-C
710 Saint Anne Street,
Rapid City, SD 57701-4670
Ph: (605) 343-8000 |
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